SWORBHP REQUEST FOR PROTOCOL BOOK PURCHASE

ALS PCS Version 4.6 (with 4.8 Revisions)

Please use this form for single book purchases. If you require multiple books please contact: sworbhp@lhsc.on.ca

Step 1: Personal Information:

Name:

Email:

Phone Number:

Service/College:

Step 2: Select Book Type

Select Book Type

PCP

ACP

Step 3: Select Pickup Method:

Select Delivery Method:

Books are $13.00 ($8.00 + $5.00 Shipping) for mail orders

Please pay by cash or cheque
_{(Cheques must be made payable to London Health Sciences Centre)}

Books are $8.00 for walk-in orders

Please pay by cash or cheque
_{(Cheques must be made payable to London Health Sciences Centre)}

Order by Mail:
Our Mailing Address:
4056 Meadowbrook Dr., Unit 145
London, ON
N6L1E5

Your Mailing Address:

Walk-in Information
Open:
Monday - Friday 8:00am - 4:00pm.

Our Address:
4056 Meadowbrook Dr., Unit 145
London, ON
N6L1E5

Street:

Apt:

City:

Postal:

Step 4: Comments and Questions:

Comments/Questions:

Thank you Thank you for order. We will process your submission as soon as possible.If you have any further questions or changes to your order please contact sworbhp@lhsc.on.ca